Individual provider · Type 1 NPI

Tina Marie Jessup, PTA

Specialist · Winter Garden, FL

NPI number 1831515725 Active

Practice location

15204 W Colonial Dr
Winter Garden, FL 34787-6042

Mailing address

16208 Saint Augustine St
Clermont, FL 34714-4993

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA21658 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1831515725

Tina Marie Jessup, PTA's National Provider Identifier is 1831515725, issued on Mar 15, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winter Garden, FL. The record was last updated on Mar 15, 2014.